Saudi Cultural Missions Theses & Dissertations
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Item Restricted The Implementation of an Online Educational Program for Nurses: Increasing Knowledge About Dysphagia and Dysphagia Dietary Recommendations(Saudi Digital Library, 2023-08) Nagshabandi, Bedoor; Shune, SamanthaDiet modification has become a fundamental clinical tool for speech-language pathologists (SLPs) within dysphagia management, particularly for acutely ill patients. However, for dietary modifications to meet intervention goals of increased intake and prevention of negative health consequences, adherence is needed across healthcare professionals, including nurses. Previous literature has highlighted education as a key contributor to increased adherence. Further, the increased flexibility of online education may help mitigate barriers experienced by healthcare professionals to completing these trainings. The purpose of this study was to develop and pilot an online educational program about dysphagia and diet modification for inpatient nurses caring for patients experiencing dysphagia. The study also aimed to examine the feasibility of program implementation and participants’ overall perceptions of program impact. A total of four participants completed the program and subsequent surveys with three also participating in semi-structured interviews about their experience. Results showed a large effect in knowledge level change between baseline and directly after completing the program and between baseline and one month after completion. Additionally, most of the participants rated the educational program as “good” using the System Usability Scale. Four themes were generated based on the semi-structured interviews. First, participants described the positive benefits of the educational program on their knowledge and clinical practices. The second and third themes encompassed dysphagia-related training received in educational and work settings and what barriers exist to additional training. The fourth theme included insight into the relationships between nurses and SLPs and the positive effects of a strong relationship. Taken together, the quantitative and qualitative analyses supported improvement in participants’ knowledge levels, preliminarily supporting the program’s effectiveness. Results also showed good levels of acceptability and feasibility of the online program as a mode for training. By increasing knowledge about dysphagia management, implementing such a program in nursing training or continuing education may increase adherence to dietary recommendations. In doing so, such a program can lead to earlier identification and appropriate management of dysphagia, resulting in better treatment outcomes, including a reduction in the negative consequence of dysphagia, increased patient satisfaction, and improved quality of life.25 0Item Restricted Diagnostic Validity of Clinical Observations for Detecting Physiologic Swallowing Impairment(2023) Alkhuwaiter, Munirah; Martin-Harris, BonnieThe act of swallowing is characterized as a complex synergy of coordinated movements that serve to protect the airway, generate pressures on and propel a bolus (liquids and foods) through the upper aerodigestive tract from mouth to stomach. Dysphagia, or swallowing problem(s) commonly occur in diseases and conditions that involve the central or peripheral control of swallowing function, or when there is direct injury to the muscles and structures involved in swallowing movement. The incidence of dysphagia in hospitalized patients is high and has shown to be a critical factor in the duration of hospital length of stay and patient survival (Attrill et al., 2018; D. A. Patel et al., 2018). The importance of early identification through timely, accurate and reliable assessment is highly significant to the overall health and well-being of patients who suffer from dysphagia. The clinical assessment of swallowing function involves observational measures of swallowing behavior used as surrogate markers of swallowing impairment. Information obtained from swallowing assessments are life changing for patients. It is essential that we have assessment tools with rigorous methodological quality to optimize the accuracy of our clinical judgement. The results obtained from these tools in combination with medical, social, and environmental factors allow clinicians to make critical decisions about patients’ health and quality of life. Thus, it is crucial that the tools assess what they propose to assess (validity) in a reproducible and consistent manner (reliability) to avoid reporting ambiguity, potential inaccuracies in assessment and selection of treatment and management plans, and gaps in service delivery.7 0